DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Biesiada, Jeffrey W	DOIID	629272	NAIC NPN	4650880

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/3/2006	6/30/2012
Inactive	Non Resident	Agent	Health	4/3/2006	6/30/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2006	6/30/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2006	6/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/5/2007	6/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/5/2007	6/30/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/5/2007	6/30/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/5/2007	6/30/2012
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	7/21/2006	11/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Haylor, Freyer & Coon, Inc.	502965	Agent - Health	5/1/2006	6/30/2012
Inactive	Haylor, Freyer & Coon, Inc.	502965	Agent - Life	5/1/2006	6/30/2012